Individual
DR. PETER JOSEPH SHUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
(732) 741-7154
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
(732) 741-7154
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA10321700
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA10321700
NJ
Other
Enumeration date
06/17/2013
Last updated
04/23/2025
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